8 1/2 Marina Village HOA

1Y1.4 P_
D aAMA E)DREDGE & FILL
1.
GENERAL PERMIT Previous permit # A B D
QbNew ElModification ElComplete Reissue 0 Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment, and Natural Resources
and the Coastal Resources Commission in an area of.environmental concern pursuant to 15A NCAC
LaRules attached:
Applicant ji p rojectLocation: County
Address
Street Address/ State Road/ Lot #(s)
City I V V State ZIP
Phone # )-E-Mail Subdivision
Authorized Agent City ZIP
El CW EW &PTA S 0 PTS Phone # River Basin t I j I/
Affected
DOEA 0HHF 01H OUBA 0 N/A
AEC(s): Adj. Wtr. Body an /unkn)
0 PWS:
Closest Maj. Wtr. Body
ORW. yes /,no PNA yes k!? f f fI
FY pe of Project/ Activity
Fixe
Float
Fing
Groi
Basir
Boat
Boat
Beac
Oth(
Shor!
SAV.
Mo
Pho
W.
(scale: I --) UU) )
M
E-0
Effil"106
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0
UNIIIIISH
IRS
NNE
ENEENN
ommummom
ME
MENOMMINUMMONESOMMENN
NJ
Uosffiml�
MINEM
N1M=m1mMMMMMMM
NONE
Molmm=llmmmm
MMMMmMMM
max distance offshore
MEN
MENE
IN
0
channel
cubic yards
ONEMEEN
NINA
ramp
MENN
ME
WWWWOM
iouse/ Boatfif�
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I Bulldozing
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NO=
no
IN
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on
IN
IN
MINE
MONO
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line Len!,th
not sure yes no
(-3-1m
IMMINEMIN
MNM=MMM
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No
IN
MEMIN
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NONE
'EMEMMEM
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IN
ON
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IMMOMEN
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momimmmmoommo
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0
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MEN!
"MENEM
er Attached: yes l(nom�omm�ommms
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A building permit may be required by:
Note Local Planning Ju . diction)i.
Notes/ Special Conditions
El See note on back regarding River Basin rules.
r I t I i
1A
1, 1, Vi
f)1Jiu;Lj Lvi Iv( try -nA 0 ,
Agent or Applicant Printed Name
Permit Officersi Printed Name
Signature "Pleasereacl' mplianc6'statement on back of permit"
Signat
Application Fee(s) Check #
Issuing Date
Expiration Daie

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/14

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
0 &0k /02-8
I certify that T have authorized (agent) 3'l 1 y-,(, ,1 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 111e;,* 11 4DP10x, 3 75" VlnV I WA-1 I
at (my property located at) 1 �!3 �, J/'f �rlrt 12d o
RECEIVED
OCT 0 2 2015
This certification is valid thru (date) 0 %30/ Z.olle .
DCM- MHD CITY
Property Owner Signature Date

Y l3 rl VV 1 V 1'V.T IG V4YIV LIIV It.11 IJVV - i.V{.I VV TVi..J (.I.1
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT '
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Flame of Property Owner: f2- a nA-yt l m
Address of Property; iqy,
(Lot or Street#, Street or Road, City & County)
Agent's Dame #: _ An.0►'(-vV I-A-,l MaitnAddress: -PO 130x bs"D
Agent's phone#: htyy4hm.4 ey.-it . rir zrgS -
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described tome as shown on the: attached drawing the development
they are proposing X descriplion or drawing, with dimensions; must be provided with this letter,
I have no obj: ctions to this proposal. I have objections to this proposal.
tf you have objections to whatis being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http:llwww.nccoastafmanaQement.netlweblcmistaff listinq orby calling l •8684RCOAST.
No response is considered the same as no objection ifyou have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings. boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15` from my area of riparian access unless waived by me. (if
you wish to waive the setback, you must initial the appropriate blank below:)
l do wish to waive the 15` setback requirement.
I do not wish to waive the 15' setback requirement.
ZjOdwneris Property Owner Information]
Signature Signature
Print or Type :Fame Pint or Type Name
Mating Aardress Mailing Address �, f
CitylStatelzip 06#srate/zip
Telephone Number l Emall Address Telephone Number lEmail Address
Date Date
(Rev sed Aug. 2014J
RECEIVE' D
OCT 0 2 2015
DCM- IViIHD C1TY

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:f2 rrllx�fit. �I �tQl�a
Address of Property: /06 6.
{Lot or Street #, Street or Road, City &County}
Agent's Name #: /"iri /ftU LAW Mailing Address: 4,5-0
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development '
they are proposing. Axdescriptiori"o��drawingx with dimensions; rriust be, provided with this letter.
". i Dave no objections to this'proposal. 1`havc objections to this proposal.
m
Ifyou have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athttnJlwww.nccoastaimanagement.netlweb/cm/staff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
973 - 1 do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
Si Jnal urG' Signami
`f_Bnc of
Print or T e N Print or Typ . Narpe ..... _ .
,gyp �� 2-�S' I�. kF 7
Mailing Addre s Mailing Address
ktl L i2G 512 W a �� Ifi Pam, 1�+J` t C . r791 a
OlylStaielZip City/StatefZip
Telephone Num ear'/` Email Ad ress Telephone Number l Email Address
Date Date / J
' (Revised Aug. 207RECEIVED
OCT 0 2 2015
DCM_ MHD CITY

;t v 4824
Acreage
Parcel Dime
information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and other public records and data.
by notified that the aforementioned public primary information sources should be consulted for verification of the information contained on this site. Carteret County assumes no legal respc
ained on this site. Carteret County does not guarantee that the data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or rem
RECEIVE®
OCT 0 2 2015
®CM- MH® CITY
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